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HomeMy WebLinkAbout020-1267-30-000 te O Q o a) o op O o 6p, a ~ C 1 1 ~ I o I I N r x ~ o y O C O ? O O ~ I 4L Y C 1 R a z EO C U (6 LL O - 3 C LED -a 7 Q E I co N > z > E z o rn 4) co N H N III O O N O z v 0 m N O (n N y z N 4 O Ch h~ E r`+l J O !ll I • Iy N O O O Z Z O N ~ 1 ~ I d N y 1 L R Cl) O 4 R O to '0 O N y i O 0 0 It . LO -0 H co H 0 0 0 z ° • Ora N a a a 1 a ~ I _ Lo to o W 0) a) } N -j U > rn rn 0 N N -0 O ^I f7 In R m N N N r 'C N Q lV (iy~ d R Q 111 O 3 + LO N O O 2 N C O ch C co c = 11 11 0 m c W a- rn O y^+ V r-- ~ N C E O~J N N 1 N C J L 3 N i' M N ) M CD F- CD 04 E N O N • L~ O N S Y ~ O ~ d •tp~ a (L • ACC a. 4! G) 4 ~ ~ L C C w 3 I G U a 2 0 N U L~ STC - 104 AS BUILT SANITARY SYSTEM REPORT OWNER ADDRESS G S~ e it v- lam/ q u S SUBDIVISION LOT SECTION T-LLN-R W, Town of _ C, Z2 ST. CROIX COUNTY, WISCONSIN PLAN VIEW SHOW EVERYTHING WITHIIN 100 FEET OF SYSTEM ' A LdL['he I l ~e INUI CATS NORTH ARRO~%l Provide setback and elevation information on reverse of this form. Provide 2 dimensions to center of septic tank manhole cover. BENCHMARK: / 10 ALTERNATE BM: SEPTIC TANK / PUMP CHAMBER / HOLDING TANK INFORMATION Manufacturer: fl)e C/ k-,, c S Lec iii ,vj Liquid Capacity: / CMG U Setback from: Well 16~ House JJy Other Pump: Manufacturer U'o u ~ Model ~1,✓( Size '/2- Float seperation m C k 2 Gallons/cycle: Alarm Location SOIL ABSORPTION SYSTEM , Width: S Length ? S~ Number of trenches / i Distance & Direction to nearest pro/p,. line: 2 0 / Setback from: well: House O Other ELEVATIONS Building Sewer ST Inlet. 9 r ST outlet PC inlet PC bottom Pump Off Header/Manifold ck L / Bottom of system Existing Grade 72, U Final grade DATE OF INSTALLATIO S _ ! J PLUMBER ON JOB: -i}- , LICENSE NUMBER: f l' INSPECTOR: I~ 3/93:jt Wisconsin S?epartment of Industry, Labor and Human Relations PRIVATE SEWAGE SYSTEM County: ' Safety and Buildings Division INSPECTION REPORT ST. CROIX GENERAL INFORMATION (ATTACH TO PERMIT) Sanitary Permit No.: Permit Holder's Name: ❑ City ❑ Village ❑ Town o : State PI KUEHL, LEONARD X CST BM Elev.: Insp. BM Elev.: BM Description: Parcel Tax No.: e5e iGd. CIS. 110, A9500037 2ITANK INFORMATION ELEVATION DATA TYPE MANUFACTURER CAPACITY STATION BS HI 1 iy Septic IV601'S s f ~-QS~ p, G✓ Benchmark GL~,66 Dosing Aeration_ Bldg' Sewer % 8 79, 70" Holding St/ )ft Inlet -71, 72 TANK SETBACK INFORMATION St/ Ht Outlet If /-N TANK TO P/ L WELL BLDG. Airi to ntake ROAD Dt Inlet y rl Septic 1 ~ 5 / NA Dt Bottom 5, ~ 3 (rt `~d 7~ ~ ~ Dosing NA FieadeF/Man. Aerati NA Dist. Pipe Holdi Bot. System PUMP /bdNFORMATION Final Grade Manufacturer ' Demand &14~ ~1.~ c✓°" d.-,ti~~° Coves Q Model Number GPM TDH Lift Friction System 7 TDH Ft Loss ead ,Forcemain Length 5~ Dia. Ff Dist. To Well ~/v he~~ SOIL ABSORPTION SYSTEM BED / TRENCH Width / Length i No. Of Tr nches PIT No. Of Pits Inside Di i pth tDIMEN I N 5 ~S DIM ENStous SYSTEM TO P/L BLDG WELL LAKE STREAM Manufacturer: SETBACK INFORMATION Type Of 15-~..r ,lG~i ORUNITR Moe Number: System: DISTRIBUTION SYSTEM Header/Manifold Distribution Pipe(s) x Hole Size x Hole Spacing Vent To Air Intake Length Dia. Length 35 Dia. L~ Spacing Z± - ' SOIL COVER x Pressure Systems Only xx Mound Or At-Grade Systems Only Depth Over ~J v Depth Over „ xx Depth Of xx Seeded/ Sodded xx Mulched Bed /Trench Center 1Q Bed/ Trench Edges Topsoil c~ ❑ Yes ❑ No ❑ Yes ❑ No COMMENTS: (Include code discrepancies, persons present, etc.''' X. ~.C Z "3' 13,fY, f!!-5 _.'r (7 LOCATION: Hudson.24.29.19W, SW, NW, Lot 16, McDiar id ' / l~C.'.,-.K.. /"fit ~ ` ' ~ L ~Jy ' cEJ~ r /f ter' ~C y r/~ f~l / Plan revision required? ❑ Yes 0-M-0 p Use other side for additional information. SBD-6710 (R 05/91) Date Inspector's Signature Cert. No- , s ADDITIONAL COMMENTS AND SKETCH SANITARY PERMIT NUMBER: I w SANITARY PERMIT APPLICATION BureaSafetyu o oand ff BuilBuildiinWater System: g Water 201 E. Washington Ave. In accord with ILHR 83.05, Wis. Adm. Code P.O. Box 7969 Madison, WI 53707-7969 • Attach complete plans (to the county copy only) for the system, on paper not less Court than 8112 x 11 inches in size. • See reverse side for instructions for completing this application state sanitary Pmit Nu er The information you provide may be used by other government agency programs E] Check if revision to revio application P (Privacy Law, s. 15.04 (1) (m)]. Stat~,Pn Numbel 1. APPLICATION INFORMATION - PLEASE PRINT ALL INFORMATION GG..~_11 O.►~lUV1 UI Property Owner Name Property Location G e- vnARd kite *W114 ffV 114,52 T2~ N,R / E(orZM-'_ Property Owner's Mailing Address Lot Number Block Number Sol f-,f *7A d 16 C ty, tate Zip Code Phone Number Subdiv Sion Name or CSM Number IA/,g- cf 4k t✓< S ( > r ,'d h u 57 .e.. II. TYPE OF BUILDING: (check one) ❑ State Owned ❑ city Nearest Road 3 ❑ Village Y Public 1 or 2 Family Dwelling - No. of bedrooms Town OF tl S6 r' 1 G /J 1,q ,d III. BUILDING USE: (If building type is public, check all that apply) Parcel Tax Number(s) 1F1 Apartment/ Condo 0 U l2 L? 3 U 2 ❑ Assembly Hall 6 ❑ Medical Facility/ Nursing Home 10 ❑ Outdoor Recreational Facility 3 ❑ Campground 7 ❑ Merchandise: Sales/ Repairs 11 ❑ Restaurant/Bar/Dining 4 ❑ Church/ School 8 ❑ Mobile Home Park 12 ❑ Service Station/ Car Wash 5 ❑ Hotel /Motel 9 ❑ Office/Factory 13 ❑ Other: specify IV. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) 1. I~ New 2. ❑ Replacement 3. ❑ Replacement of 4. ❑ Reconnection of 5. ❑ Repair of an ______System System Tank Only Existing System Existing System B) ❑ A Sanitary Permit was previously issued. Permit Number Date Issued V. TYPE OF SYSTEM: (Check only one) Non-Pressurized Distribution Pressurized Distribution Experimental Other 11 ❑ Seepage Bed 21 Mound 30 ❑ Specify Type 41 ❑ Holding Tank 12 ❑ Seepage Trench 22 ❑ In-Ground Pressure 42 ❑ Pit Privy 1 Seepage Pit 43 ❑ Vault Privy 14 System-In-Fill VI. BSORPTION SYSTEM INFORMATION: 1 allons Per Day 2. Absorp- Area 3. Absorp. Area 4. Loading Rate S. Pert. Rate 6. System Elev. 7. Final Grade Re wired (sq. ft.) Proposed ft.) (Gals/da /sq. ft.) (Min./inch) q r' Elevation 5'~ r 4 Y ` a Feet Q¢ a~Feet VII. TANK Capacity gallons Total # of Prefab. Site Fiber- plastic Exper. INFORMATION Gallons Tanks Manufacturers Name Concrete Con- Steel glass App. New Existing strutted Tan Tanks Septic Tank or Holding Tank tG U rn¢ d Lv e &/j ❑ ❑ ❑ ❑ ❑ Lift Pump Tank /Siphon Chamber r ' ❑ ❑ ❑ ❑ ❑ VIII. RESPONSIBILITY STATEMENT I, the undersigned, assume responsibility or installation of the onsite sewage system shown on the attached plans. Plumber's Name: (Print) Plum . is Signatur Stamps) 1APM1715'RSW No.: Business Phone Number: 4 go r G Z2- 6 Plumber's Address street, State, Zip Code): IX. COUNTY / DEPARTMENT USE ONLY Groundwater ate k ue Issui g Agent Sign ure (No Stamps) ❑ Disapproved Sanitaary Permit Fee (Includes SurchargeFee) Approved ❑ Owner Given Initial ^ 1,,rV/~/ :2f 6 Adverse Determination X. CONDITIONS OF APPROVAL / REASONS FOR DISAPPROVAL: SBD-6398 (R. 05/94) DISTRIBUTION: Original to County. One copy To: Safety & Buildings Divr ion, Owner, Plumber INSTRUCTIONS 1. A sanitary permit is valid for two (2) years. 2. Your sanitary permit may be renewed before the expiration date, and at a time of renewal any new criteria in the Wisconsin Administrative Code will be applicable. 3. All revisions to this permit must be approved by the permit issuing authority. 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/ Renewal Form (SBD-6399) to be submitted to the county prior to installation 5. Onsite sewage systems must be properly maintained. The septic tank(s) must be pumped by a licensed pumper whenever necessary, usually every 2 to 3 years. 6. If you have questions concerning your onsite sewage system, contact your local code administrator or the State of Wisconsin, Safety and Buildings Division, 608-266-3815. To be complete and accurate this sanitary permit application must include: 1. Property owner's name and mailing address. Provide the legal description and parcel tax number(s) of where the system isto be installed* IL Type of building being served. Check only one and complete # of bedrooms if 1 or 2 Family Dwelling. III. Building use. If building type is public, check all appropriate boxes that apply. IV. Type of permit. Check only one on line A. Complete line B if permit is for tank replacement, reconnection, or repair. V. Type of system. Check appropriate box depending on system type. VI. Absorption system information. Provide all information requested for numbers 1 through 7. VII. Tank information. Fill in the capacity of every new/or existing tank, list the total gallons, number of tanks and manufacturer's name, indicate prefab or site constructed and tank material. Complete for al/ septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR VIII. Responsibility statement. Installing plumber is to fill in name, license number wit) appropriate .prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/ Department Use Only. X. County / Department Use Only. Complete plans and specifications not smaller than 8 1/: x 11 inches must be subnitted tJ F "runty. The plans must jnclude the following: A) plot plan, drawn to scale or with complete dimensions, locatio i of .u'ldinq tank(s), septic tar,kW or other treatment tanks; building sewers; wells; water mains/water service, strE, i-s n lakes, pump or siphon tar:ks; distr ibuuon poxes; soil absorption systems; replacement system areas; an.-! the lo, .t!o, c f the I-juilding served; B) ' -onial and vertical elevation reference points; CI complete specification `or pur )p-, a id ont-ols; dose volume; elevation differences; fiction loss; pump performance _urve; pump model anc plrnp tmi r, f, rsrer; D' cross section of the soil absorption system if required by the county; soil test data on a 115 f )rrn, ar) )I sizinrl i.nformation. GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practice z, which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater contamination investigations and establishment of standards. SAFETY & BUILDINGS DIVISION State of Wisconsin Department of Industry, Labor and Human Relations March 21, 1995 2226 Rose Street La Crosse WI 54603 WEGERER SOIL TESTING 421 N MAIN STREET PO BOX 74 RIVER FALLS WI 54022 RE: PLAN S95-40154 FEE RECEIVED: 180.00 KUEHL, LEONARD SW,NW,24,29,19W TOWN OF HUDSON COUNTY OF ST CROIX MOUND SYSTEM The Department has reviewed the above-referenced submittal. Conditional approval is hereby granted for the system plan submittal. All noted items must be corrected. The review and approval of the system is based on chapter 145, Wisconsin Statutes, and chapters ILHR 83 and 84, Wisconsin Administrative Code, and is contingent upon compliance with any stipulations shown on the plans. This system has not been reviewed for the code requirements set forth in chapter ILHR 82 or in chapters ILHR 50-64, Wisconsin Administrative Code. This plan submittal approval will expire two years from the approval date, or if a sanitary permit is obtained, plan approval will expire on the day the initial sanitary permit expires. The licensed plumber responsible for this installation shall keep one set of plans with the Department's stamp of approval at the construction site. The installer shall notify the appropriate inspector when inspections can be made. All permits required by the city, village, township or county shall be obtained prior to installation. Inquiries should be directed to me at the number listed below. Please refer to the plan number shown above. Sincerely I I rard M. Swim Plan Reviewer Section of Private Sewage (608) 785-9348 7839R/ 1 SBDA-7997(8.10194) I t Page ti of 6 MOUND SYSTEM FOR S95-40154 A 3 BEDROOM RESIDENCE LOCATED IN THE SW 1/4 OF THE NW 1/4 OF SECTION Iq T Z9 N, R 19 W, TOWN OF y p s O N) C l o lx COUNTY, WISCONSIN. INDEX PAGE 1 ' of 6 TITLE SHEET PAGE 2 of 6 PLOT PLAN PAGE 3 of 6 PLAN VIEW-CROSS SECTION PAGE 4 of 6 DISTRIBUTION PIPE LAYOUT PAGE 5 of 6 PUMPING CHAMBER PA GE 6 of 6 PUMP PERFORMANCE CURVE PREPARED FOR L~t~r.~f`c2© ~ SUrvLSLL kv~l~_L 3 o i s! ~-~2 m1~ N Vz,&s N b RECEIVED w~vs1~' v, w1 sL114 o1 MAR20 1995 SAFETY i DUN. D11►. PREPARED BY ,,®v~e~~eaooe WECEF~EFR SO I L TEST I NG e C-y~4~+/ --®*o AND ~~•.`t DES = GFV SEF~~1 I CE ARTHUR 'A' R EtiStvJ::TH, o F.O. BOX 74 421 K. KAIK ST. _ % Wes. RIVET? FALLS. MI 54022 ~ t ...,...••'''a 715-42x165 ~ ~ JOB NO. 9 S _ 5 S t S 90 v ,2 ~ YIP A2 PLOT PLAN Page Z of I- Scale 1"= u0 ' loT \q I LoT %,6 S45-401V4 NLY'rCZ.~, 5T u ru o ~ ~ > 0 . S ~t u• 66 S ~CCZr ~T ~ 1 - - L-rL. Lriz.p nrv Nom, WIPE s.l a.2 21 9 v.3 8, o U~ tioT eoµ-t ~ c~- otZ PF 9VAre Sew XGE SYSTEM con it 7 'ice ;r~~ REU►~►ows OF 1T~flUSTRY, I,.ABOR & D BL~Ln«3~S D~• piV N SAFE F, ON'~)~~~JtE S Go S o~ eti - ~t . 8~•6 arv \1'` ~AIGli 3JV"tDj1) ~ V C 1~1 PL w All- . so eF u'`~~C MAN . LLz" covtR NO qLL -VD `3F. F1T NRST ~z S b' F-TW 1 M uw`1p t 1I 10 1A e r~'i~u>v S R~Tc li ~~T L~~ ST S ~ F~~ w► ~ o ~Q 3 BD2v-~ ~ ~ 4 HouSF NOTES: 1. Elevations shown are existing ground elevations unless otherwise noted. 2. Install permanent markers at end of each lateral. ( y required) 3. Install 4" observation pipes with approved caps. ( -Y --required) 4. Septic tank to be 1000/630 gallon capacity manufactured by c V--1 \ L> w ST @RN P ZL C-R 5r, 5. Bench Marks S~ 13 0 V C Q~-t<N 6. Divert surface water around mound to prevent ponding at the uphill side. Page 3 Of 16 Approved Synthetic Covering S95-40154 yysTM c 33 Distribution Pipe Medium Sand _ G Topsoil H F aElev. -J i 3 E p b 8% Slope Force Main Plowed Trench of k"-2k" From Pump Layer Aggregate Undisturbed D \•O Ft. Soil E y Ft. Cross Section Of A Mound System Using F Ft. I Trench For The Absorption Area G N.o Ft. A S Ft. H I- S Ft. 6 -)S Ft. I NS Ft. Linear Loading Rate= 6 GPD/LN FT .J "7 Ft. Design Loading Rate= o• 3 GPD/SQ FT K ~c), S Ft. L 96 Ft. W Z-l Ft. L Force B K Main A 4- - W Distribution Trench Of 2 2 Pipe Aggregate 1 Permanent J ~ Observation Markers Pipes l S,fSIEVA (Anchor securely) rp,~ ~ V I 'Fitionally COT' aft ~T WOM s Mound Using I Trench ~~es aa~ G5 0~ • OF OF SA avts►o EyGE RES SE Page Of Perforated Pipe Detail 0 S95-4®154 End View Perforated End Cop cy' PVC Pipe - ~o~.oe ooc~ Install permanent-marker at end of each lateral Holes Located On Bottom, Are Equally Spaced Q End Cop `(s ES 0i, P * * ~ PVC Force Main♦ Rr k ` Dt$tf lt)Utlon Pipe z° Last Hole Should Be Next To End Cap r~'y p rim Distribution Pipe Layout P 3 S Ft. X Inches y U Inches Hole Diameter Inch Lateral 1<<~ Inch(es) Manifold - Inches Force Main " Z Inches # of holes/pipe VO Invert Elevation of Laterals c18.5 Ft. 1OXV.`1 = \~-1 X- Z= Z.3 •y G p'M lv L_. Place lst hole 7-1"from tee with succeeding holes at (4q'tintervals. Last hole to be next to the end cap. • Combination Septic Tank and S " 4 0 1 PUMP CHAMBER CROSS SECTION AMD SPECIFICATIONS PAGE S OF C~ VCUT CAP WEATHEK PKOOF JUUCTIOIJ BOX I'C.I. VENT PIPC APPROVED LOCKING lO' FROM DOOR, WHOLE COVER wlV wARr.~I►JG LABEL dIUDOW OR FRESH WMIU. AIR WTAKE co>J~ulr I 86 5 t i ~"Mlu. G>ta - I le' MIIJ. 16"MIN. PROVIDE i IAJLE T - AIRTIGH _T T SEAL I III ' i III @ gFFL~S A I III APPROVED JOIAJ APPROVED, W/C.I. PIPE,,RP w/G.LJ~IPCoR "°~Tank construction I III EXTEIJDIUG 3' ALARM §,411 comply with ONTO SOLID 601i o►}TOF r~Q► 03.15 and 83.20 !s I 1 I I OIJ mm"i ~,8DV1~L~a+2 E V 6.2 S FT. P 1&1 ~,FE PUM OFF 4F Of CONCRETE LL. „~SS BLOCK O 3" APPRt K15LK EXIT PERMITTED ONLY IF TAWK MAUUFACTURIFR HAS SUCH APPROVAL 1gFpplN~ SPECIFICATIOUS SEPTIC E DOSE WUMBER OF DOSES: 3•~ PER DA4 TAWK MAMUFACTURER: TAWK sIZC : vOOU / 50 GALLOMS DOSE VOLUME z S.S. ~L~'CSLO S~ISTLJ"'1 S INCLUDING 15ACKFLOW: lS3 GALLONS ALARM MAIJUFACTURr6R: MODEL AJUMBER = Vyy N W CAPACITIES: A= INCHES OR 396 GALLOAI5 SWITCH TyPC: Vn~~C.LJWLf B= 2 IWCHES`OR -I- G~LLOUS PUMP MAMUFACTUKILR: V- `-tL-C2.S C= 9 WCHES OR GALLOIJ5 MODEL IJUMBER: 1-'1, 'j3 0= INCHES OR S'b GALLONS 5WI7CH TYPE: V--,\ L-1ZdwuR.t( MOTE: PUMP AND ALARM ARE TO 5L MIAIIMUM DISCKARGE RATEZ3• (~O GPM IN5TALLED OW 5EPARATE CIRCUITS VERTICAL DIFFEREMCE DETWEEIJ PUMP OFF AIJ0.015TRIBUTIOIJ PIPE.. ZZ.7-S FEET + MIMIMUM NETWORK SUPPLY PRESSURE . , . . . . . . . . . 2.50 FEET + 1°~S FEET OF FORCE MAIN Y, ~'kS F 00FLFRICTIOU FACTOR. Z.Z4 FEET - ~ TOTAL 091JAMIG HERO = Z1 .8 S FEET t111Fm. J Pump chamber DIAMETER - ZC3" IMTERMAI_ DIMEWSIOM~ OF TAIJK: LEKIGTH ;WIDTH _ ;LIQUID DEPTH BOTTOM AREA - - 231= GAL/INCH AS PER MANIIFAC URER = x-1.0 GAL/INCH i;~-A 6k-z~ 6 aF ME Series - MYM 1/3 through 1-1/2 HP S95-40154 Effluent Pumps Performance Curve CAPACITY LITERS PER MINUTE 0 50 100 150 200 250 300 350 400 450 100 28 90 80 MFRS 24 ~ _ tr W H W 70 MF/0 20 W z Z 60 0 o MEN 16 W Q 50 S = W J F M~SO 1 2 JQ- 40 O F- 30 8 ri•65 NN 20 M~33 t3 •~0 4 10 0 0 0 10 20 30 40 50 60 70 80 90 100 110 120 130 CAPACITY GALLONS PER MINUTE F.E. Myers, A Pentair Company • 1101 Myers Parkway, Ashland, Ohio 44805-1923 419/289-1144 FAX 419/289-6658 Telex 98-7443 K3327 7/91 Printed in U.S.A. "n ; c°f1 ."Opaf~iw"uuilliw"uy ,UIL ANU 5111 tVALUAIIUN HtF'UHI ragel of 3 ` l ,or "?iu Human Relations ;vision of Safety & Buildings in accord with ILHR 83.05, Wis. Adm. Code COUNTY Attach complete site plan on paper not less th "*di n size. Plan must include, but St . Croix not limited to vertical and horizontal refere ia, or~ nd /o of slope, scale or PARCEL I.D. # ` ~ ~ dimensioned, north arrow, and location a dl nee to nearest read' 020-1267-30 REVIEWED BY DATE APPLICANT INFORMATION-PLE F 4RINT'ALL I.NFOAMATION PROPERTY OWNER: PROPERTY LOCATION James Rusch GOVT. LOTS 1/4 NW 1/4,S 24 T 29 ,N,R lg Xj (or) W PROPERTY OWNER':S MAKING ADDRESS LOT # BLOCK # SUED. NAME OR CSM # 1416 3rd. 16 na Sunridge phase 1 CITY, STATE ZIP CODE PHONE NUMBER []CITY []VILLAGE MOWN NEAREST ROAD Hudson WI. 54016 (71 86 " ~ 4 Hudson McDiarmid Dr. fq New Construction Use [x~ Residential / Number of bedrooms 3 [ ) Addition to existing building j J Replacement [ ] Public or commercial describe Code derived daily flow 450 gpd Recommended design loading rate .5 bed, gpd/ft2 .6 trench, gpd/ft2 Absorption area required 375 bed. ft2 375 trench. ft2 MaAmtmt design loading rate • 5 bed, gpolft2_ • 6 trench, gpw Recommended infiltration surface elevation(s) 98.02 It (as referred to site plan benchmark) Additional design /site considerations contour line at el 97 02 , borings thawed before diagina Parent material limestone uplands Flood plain elevation, if applicable na ft MOUN U= Unstable for sys et m c❑ S ENTIONAL 66 as o O U lO S 1 UND U PRESSURE 0 S D®U p S ®Uu 0 SING® UK SOIL DESCRIPTION REPORT Boring # Horizon Depth Dominant Color Mcdes Texture Structure Consistence Boundary Roots -IT in. Munsell Qu. Sz. Cont Color Gr. Sz. Sh. Bed tench If . 5 .6 Cfw 3 1 0-9 10 r3 3 none 1 2msbk mfr & 1 _ A 2 9-16 7.5yr4/4 none sit 2msbk mfr 5W If .5 .6 Ground 3 16-38 7.5yr4/6 none is Osg mvfr gW na .7 .8 elev. 4 38-50 2/5y6/4 none fractu ed limest ne +50% y vol e np np 98.2 Depth to limiting factor 38" Remarks: Boring # `tire` 1 0-9 10yr3/3 none 1 2msbk mfr gw if .5 .6 2 2 9-22 7.5yr4/4 none sil 2msbk mfr gW if .5 .6 4~\ vv 3 22-32 7.5yr4/6 none sl 2msbk mfr 9W if .5 €.6 Ground elev 4 32-50 7.5yr4/6 none is Osg mvfr gw na .7 ` .8 . 97.72 ft. 5 50-63 2/5y6/4 none fractu ed limest ne +509/o y vol e np np Depth to limiting factor 50" Remarks: CST Name:-Please Print Phone: Gar L. Steel 715-946-6200 Address: 155 00th. Ave., pew Richmond WI. 54017 Signature: Date: CST Number: 2-28-95 cstm 02298 PROPERTYOWNER James Rusch SOIL DESCRIPTION REPORT Page 2 of PARCEL I.D. #t 020-1267-30 Boring # Horizon Depth Dominant Color Mottles Structure I GPD/ft in. Munsell Qu. Sz. Cont Color Texture Gr. Sz. Sh. Consistence Botirtary Roots Bed iTre & 1 0-9 10yr4/3 none 1 2msbk mfr gw if .5 1 .6 2 9-27 7.5yr4/4 none sl 2msbk mfr gw if .5 i .6 Ground 3 27-36 7.5yr4/6 none sl 2msbk mfr gw na .5 .6 93. 4 36-60 2/5y6/4 none fractured limestone +5 by v lame np ! np Depth to limiting factor 36" Remarks: Boring # 1 0-5 10yr4/3 none T 2msbk mfr rw 1f .5 .5 Y.4. 4 2 5-16 7.5yr4/4 none sil 2msbk mfr 9w if .5 .6 :::N`om` 3 16-24 7.5yr4/4 none sl 2msbk mfr 9w na .5 .6 Ground elev. 4 24-50 7.5yr4/6 none is Osg mvfr 9w na .7 .8 94.72t. 5 50-62 2/5y6/4 none fract red limes one + 50 by volume np np Depth to limiting factor Remarks: Boring # A:'t Ground elev. ft. Depth to limiting factor 71 -T- I Remarks: Boring # Ground elev. ft. Depth to limiting j factor Remarks: SBD-8330(8.05/92) STEEL'S SOIL SERVICE Gary L. Steel James Rusch 1554 200th Ave. CSTM2298 SW4NW4 S24-T29N-R19W New Richmond, WI 54017 MPRSW 3254 lot #16-Sunridge phase 1 (715) 246-6200 town of Hudson N 1"=40' BM.= top of se lot stake lot #19 C 100' 17- C9 2-Z If IT- ,~-2 l5i 10~,~ f(j' jkI~QUN ~ FT~2C/ .60 0 8!7 J do p. ~N s ~ ~►vd~s~ I0 P'!E~ 'N Gary L. Steel 2-28-95 STC-105 SEPTIC TANK MAINTENANCE AGREEMENT St. Croix County OWNEWBUYER L r/- /Q kGt,41 MAILING ADDRESS y-?O/ SXeemaa ifol. Wausau, 0/' Sq o/ PROPERTY ADDRESS S'SO 17C VA eM;d A'. (location of septic system) Please obtain from the Planning Dept. CITY/STATE yi(OCSoh , (,✓i PROPERTY LOCATION SW 1/4, 50 1/4, Section Y, T 2 1 N-R W TOWN OF f Iu~SOn ST. CROIX COUNTY, WI SUBDIVISION Sup riw9 e LOT NUMBER & CERTIFIEDSURVEY MAP, VOLUME , PAGE 7 , LOT NUMBER Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed by licensed septic tank pumper. What you put into the system can affect the function of the septic tank as a treatment stage in the waste disposal system. St. Croix County residents may be eligible to receive a grant for a maximum of 60% of the cost of replacement of a failing system, which was in operation prior to July 1, 1978. St. Croix County accepted this program in August of 1980, with the requirement that owners of all new systems agree to keep their system properly maintained. 'File property owner agrees to submit to St. Croix Zoning a certification form, signed by the owner and by a mater plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on-site wastewater disposal system is in proper operating condition and (2) after inspection and pumping (if necessary), the septic tank is less titan 1/3 full of sludge attd scum. I/We, the undersigned have read the above requirements and agree to maintain the private sewage disposal system in accordance with the standards set forth, herein, as set by the Wisconsin DNR. Certification stating that your septic has been maintained must be completed and returned to the St. Croix County Toning Officer within 30 days of the three year expira ' 'n date. I SIGNED: DATE: St. Croix County Zoning Office Government Center 1 101 Carmichael Road I Judson, WI 54016 11/93 APPLICATION FOR SANITARY PERMIT STC - 100 This application form is to be completed in full and signed by the owner(s) of the property being developed. Any inadequacies will only result in delays of the permit issuance. Should this development be intended for resale by owner/contractor, ("spec house"), then a second form should be retained and completed when the property is sold and submitted to this office with the appropriate deed recording. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Owner of Property L t 0 h!]►'G~ -f VdAt u L Location of Property S w ~a S w, Section y , T o2~ N-R~ W Township RU L06 Mailing Address 11301 X erMkh 7tK• GlaL4s dtW 4d 1: S~/y0/ Address of Site $SO rfc 19iar.K ~d 9i'. /'{uG~son W~'. S~/olG Subdivision Name Su n ;04 t .Lot Number A0 Previous Owner of Property reeAwooo'~ C_-Ater'p/l C5 Total Size of Parcel y.ac r es Date Parcel was Created Are all corners and lot lines identifiable? Yes No Is this property being developed for resale (spec house) ? Yes No //1 . 3 Volume and Page Number as recorded with the Register of Deeds. INCLUDE WITH THIS APPLICATION THE FOLLOWING: A Warranty Deed which includes a Document number, volume and page number, and the Seal of the Register of Deeds. In addition, a certified survey, if available, would be helpful so as to avoid delays of the reviewing process. If the deed description refer- ences to a Certified Survey Map, the Certified Survey Map shall also be required. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -'I -.i PROPERTY OWNER CERTIFICATION I (We) centi6y that att statements on this 6onm are true to the best o6 my (our) knowledge; that 1 (we) am (ate) the owner (b) o6 the pnopenty deb n i.bed in this .in6onmation 6onm, by vi tue o6 a waAAanty deed neconded in the 06 ice o6 the County RegiAteh o6 veeds as Document No. 5 2 6.90 and that I Pule) pnesentty own the proposed site bon the sewage dibpos syb em (on I (we) have obtained an easement, to )um with the above deachi.bed pnopenty, bon the constnuati.on o6 said system, and the same has been duty recorded in the 064.ice o6 the County Reg.isteA o6 Deeds, as Document No. 5 2 6k6 6, ) . SIGNATURE OIt.OWNER SIG URE OF CO-0 R ('IF APPLICABLE) DATE SIGNED DATE SIGNED DOCUMENT No. WARRANTY DEED T1111i lPIC[ RESERVED FOR RECORDING DATA ~r j STATE BAR OF WISCONSIN FORM 2--1988 526806 VOL-1114Pa"A79 REGISM'S OFFICE t° 5. St. CROD(CO., Wf Reed for Retard Greenwood--Enterprises.,.. Inc,.. a.,Wisconsin- Corporat.ion, MAR 17 1995 ' ' - at . 8:30 A.M . conveys and warrants to .._.r, d..A"'..Kuehl, Jr. and Janell Kuehl ~.(I- ~•\_s•S husband--at 3--wi€e- as--survivorship-mari€.a-1•-propertyL-------•..• RegWwoof eDeddsw : _ RETURN TO Heywood b Cari, S.C. P.U. Box 229, Hudson, WI the following described real estate in St,.- Croix .......................County, f7t:,te of Wisconsin: Tax Parcel No: Lot 16 of the Plat of SunRidge filed in the Office of the Register of Deeds for St. Croix County, Wisconsin on September 22, 1989 in Volume 5 of Plats at Page 71 as Document Number 451750. •l, is not This homestead property. -44@) (is not) Exception to warranties: T. day of _ _ _ 19.. 95 Dated this 0... ------.(SEAL) ....(SEAL) i James E. Rusch, President . 144 sch, Secretary/Treasurer -----.(SEAL) _ .(SEAL) AUTHENTICATION ACKNOWLEDGMENT Signature(s) ...James E. Rusch, President STATE OF WISCONSIN ss. ST. CROIX County. authenticated this 27 _y of... February + 19..95 Personally came before me this ................day of ' 19.......... the above named Pia Rusch. Secretary/Treasurer •Walter__Hodynsky - - - TITLE: MEMBER STATE BAR OF WISCONSIN n....._ (If not, ll.e authorized by § 706.06, Wis. Stats.) ' -0-7! yG to me know b~ r ho executed the t foregoiflg i tzcl the s me. . THIS INSTRUMENT WAS DRAFTED BY Heywood 6 Cari, S.C. by Walter Hodynsky . P.O. Box 229, Hudson, WI 54016 Ql1tp3ir a • • Notary Public - County. Wis. (Signatures may be authenticated or acknowledged. Both My Commission Is•.,p snen ~ ot, state expir Io are not necessary.) date: 'r "'Names of persons signing in any capacity should be typed or printed below their signatures. WARRANTY DEED STATE BAR OF WISCONSIN R•i,-.in Legal Blank 1'- 1- FORM No. 2- 1942 nrk". w;,- Ah t